Immunisations, vaccinations and smears appear to be in the global sum and enhanced services. How is this split?
A Childhood vaccinations and immunisations are additional services but the achievement of lower or higher targets will be paid through a directed enhanced service. Smears are also an additional service but here the target payment system has been modified to allow for informed dissent and exception reporting and, hence, the achievement of the targets is paid through the quality and outcomes framework. Influenza immunisation will be delivered through a directed enhanced service.
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